Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: EC:6.3.4.6 (urease)
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Hyperammonemia with coma, tachypnea, and respiratory alkalosis developed in a 3-year-old boy with prune"-belly syndrome during a urinary tract infection with Proteus mirabilis. Hyperammonemia is thought to have resulted from the production within the massively dilated urinary tract of excessive amounts of ammonia due to bacterial urease, and its subsequent reabsorption into the systemic circulation. The patient rapidly improved following parenteral antibiotic therapy and continuous catheter drainage of the urinary tract.
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PMID:Ammonia encephalopathy secondary to urinary tract infection with Proteus mirabilis. 644 60

Detection of alkaline urine traditionally sends an alert to the clinician to consider the presence of a urease-producing bacterial urinary tract infection, postprandial alkaline tide, or the ingestion of a diet that is nonacidifying. In the cat of this report, acid urine was produced while the cat was in the home environment, but alkaline urine was produced following the stress of a long trip to the veterinarian's office. Stress-induced respiratory alkalosis was highly suspected as the cause for the alkaline urine. If traditional causes for alkaline urine are not apparent for cats that produce alkaline urine at the veterinary clinic, we suggest that urinary pH be determined on samples collected in the home.
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PMID:Intermittent alkaline urine in a cat fed an acidifying diet. 892 88